Sevinc Eftal Gürses, Tekeşin Aysel, Tunç Abdulkadir
Gaziantep Metropolitan Municipality, İnayet Topçuoğlu Hospital, Gaziantep, Turkey.
Clinic of Neurology, Health Sciences University, İstanbul Training and Research Hospital, İstanbul, Turkey.
Ideggyogy Sz. 2018 Nov 30;71(11-12):417-422. doi: 10.18071/isz.71.0417.
The aim of this study was to evaluate the relationship between electrophysiological stage, symptom severity, functional status and anxiety levels in patients with idiopathic carpal tunnel syndrome (CTS).
This study included 130 patients in the 25-79 age group who were classified as clinically and electrophysiologically idiopathic carpal tunnel syndrome in our electromyography (EMG) laboratory. Visual Analog Scale (VAS) was used to assess pain during rest and activity. The Boston Carpal Tunnel Scale (BCTS) was used to evaluate symptom severity and functional status. Symptom Severity Scale (SSS) and Functional Capacity Scale (FCS) were assessed separately as a part of BCTS. Beck Anxiety Inventory (BAI) was used for anxiety assessment.
A total of 130 patients (25 males and 105 females) were enrolled to this prospective study. The mean age of the patients was 46.95 ± 10.57 years. When the electrophysiological stage was increased, it was found that SSS score and FCS score were increased (p <0.001). No significant correlation was detected between electrophysiological stage and VAS or BAI score. There was a positive correlation between VAS scores and SSS, FCS and BAI scores (p <0.001). Symptom severity and functional status were correlated with anxiety scores (p <0.001). SSS and FCS values of stage III and above patients were significantly higher than Stage I and II CTS patients (p <0.01).
In conclusion, our study showed a significant correlation between symptom severity, functional status and anxiety in CTS patients. This can be interpreted as the mental deterioration of individuals with more severe symptoms. On the other hand, additional psychiatric support options should be recommended in cases of moderate findings but anxious symptoms. Electrophysiological findings shouldn't be sufficient to measure the effect of the disease on the person.
本研究旨在评估特发性腕管综合征（CTS）患者的电生理分期、症状严重程度、功能状态与焦虑水平之间的关系。
本研究纳入了130例年龄在25 - 79岁之间的患者，这些患者在我们的肌电图（EMG）实验室被临床和电生理诊断为特发性腕管综合征。采用视觉模拟量表（VAS）评估静息和活动时的疼痛。使用波士顿腕管量表（BCTS）评估症状严重程度和功能状态。作为BCTS的一部分，分别评估症状严重程度量表（SSS）和功能能力量表（FCS）。采用贝克焦虑量表（BAI）进行焦虑评估。
共有130例患者（25例男性和105例女性）纳入这项前瞻性研究。患者的平均年龄为46.95±10.57岁。当电生理分期增加时，发现SSS评分和FCS评分升高（p<0.001）。未检测到电生理分期与VAS或BAI评分之间存在显著相关性。VAS评分与SSS、FCS和BAI评分之间存在正相关（p<0.001）。症状严重程度和功能状态与焦虑评分相关（p<0.001）。III期及以上患者的SSS和FCS值显著高于I期和II期CTS患者（p<0.01）。
总之，我们的研究表明CTS患者的症状严重程度、功能状态与焦虑之间存在显著相关性。这可以解释为症状较严重个体的心理恶化。另一方面，对于症状中等但有焦虑症状的病例，应推荐额外的精神科支持方案。电生理检查结果不足以衡量疾病对患者的影响。
